Parents of very preterm and VLBW infants have resilient quality of life decades later

 

A prospective cohort study of parents whose children were born very preterm (VP) or very low birth weight (VLBW) showed that their quality of life once their children reached adulthood was comparable to that of parents of term children. What did predict a poorer quality of life for these parents was whether their children had mental health problems or worse peer relationships in childhood.

AndyL/iStockphoto

The researchers examined participants in the Bavarian Longitudinal Study, made up of parents and caretakers and their children, who were born in Germany between January 1985 and March 1986 and were either VP (less than 32 weeks’ gestation), VLBW (less than 1,500 g), or term. After seven assessments over the ensuing years, 219 VP and VLBW parents and 250 term parents filled out a quality of life and life satisfaction questionnaire when their child was, on average, aged 27.3 years old.

The questionnaire used was the World Health Organization Quality of Life instrument, Short Edition, which assesses physical health, psychological health, social relationships, and environment in 26 items. Parents also answered the five-item Satisfaction with Life Scale.

“The overall Quality of Life factor score of parents of VP and VLBW and term offspring was not different (VP and VLBW: mean standardized factor score −0.02; 95% confidence interval, −0.13 to 0.08; term controls: mean standardized factor score 0.02; 95% CI, −0.07 to 0.12; P greater than .05),” wrote Dieter Wolke, PhD, of the University of Warwick (England) and his coauthors.

VP and VLBW, disabilities, poorer academic achievement, and poorer parent-child relationships did not predict a lower quality of life for the parents. However, “in offspring, better mental health and peer relationships in childhood (independently of whether they were born VP or VLBW or term) still predicted parents’ quality of life more than a decade later,” they said.

Thus, taking measures to improve children’s mental health and peer relationships likely would aid both the children and their parents, they observed.

One thing that the authors do not remark on is that a significant number of the VP and VLBW infants in the Bavarian study’s initial sample died in the hospital (172 of 682; 25%), with another 12 deaths between the infants’ discharge and adulthood; the cohort study’s focus, therefore, is limited to the quality of life of parents whose children are still alive. Some other eligible parents dropped out, although the authors noted that they tried to control for factors differing between the dropouts and the participants.

Read more at Pediatrics (2017 Sep;140[3]:e20171263)

[email protected]

 

A prospective cohort study of parents whose children were born very preterm (VP) or very low birth weight (VLBW) showed that their quality of life once their children reached adulthood was comparable to that of parents of term children. What did predict a poorer quality of life for these parents was whether their children had mental health problems or worse peer relationships in childhood.

AndyL/iStockphoto

The researchers examined participants in the Bavarian Longitudinal Study, made up of parents and caretakers and their children, who were born in Germany between January 1985 and March 1986 and were either VP (less than 32 weeks’ gestation), VLBW (less than 1,500 g), or term. After seven assessments over the ensuing years, 219 VP and VLBW parents and 250 term parents filled out a quality of life and life satisfaction questionnaire when their child was, on average, aged 27.3 years old.

The questionnaire used was the World Health Organization Quality of Life instrument, Short Edition, which assesses physical health, psychological health, social relationships, and environment in 26 items. Parents also answered the five-item Satisfaction with Life Scale.

“The overall Quality of Life factor score of parents of VP and VLBW and term offspring was not different (VP and VLBW: mean standardized factor score −0.02; 95% confidence interval, −0.13 to 0.08; term controls: mean standardized factor score 0.02; 95% CI, −0.07 to 0.12; P greater than .05),” wrote Dieter Wolke, PhD, of the University of Warwick (England) and his coauthors.

VP and VLBW, disabilities, poorer academic achievement, and poorer parent-child relationships did not predict a lower quality of life for the parents. However, “in offspring, better mental health and peer relationships in childhood (independently of whether they were born VP or VLBW or term) still predicted parents’ quality of life more than a decade later,” they said.

Thus, taking measures to improve children’s mental health and peer relationships likely would aid both the children and their parents, they observed.

One thing that the authors do not remark on is that a significant number of the VP and VLBW infants in the Bavarian study’s initial sample died in the hospital (172 of 682; 25%), with another 12 deaths between the infants’ discharge and adulthood; the cohort study’s focus, therefore, is limited to the quality of life of parents whose children are still alive. Some other eligible parents dropped out, although the authors noted that they tried to control for factors differing between the dropouts and the participants.

Read more at Pediatrics (2017 Sep;140[3]:e20171263)

[email protected]

 

A prospective cohort study of parents whose children were born very preterm (VP) or very low birth weight (VLBW) showed that their quality of life once their children reached adulthood was comparable to that of parents of term children. What did predict a poorer quality of life for these parents was whether their children had mental health problems or worse peer relationships in childhood.

AndyL/iStockphoto

The researchers examined participants in the Bavarian Longitudinal Study, made up of parents and caretakers and their children, who were born in Germany between January 1985 and March 1986 and were either VP (less than 32 weeks’ gestation), VLBW (less than 1,500 g), or term. After seven assessments over the ensuing years, 219 VP and VLBW parents and 250 term parents filled out a quality of life and life satisfaction questionnaire when their child was, on average, aged 27.3 years old.

The questionnaire used was the World Health Organization Quality of Life instrument, Short Edition, which assesses physical health, psychological health, social relationships, and environment in 26 items. Parents also answered the five-item Satisfaction with Life Scale.

“The overall Quality of Life factor score of parents of VP and VLBW and term offspring was not different (VP and VLBW: mean standardized factor score −0.02; 95% confidence interval, −0.13 to 0.08; term controls: mean standardized factor score 0.02; 95% CI, −0.07 to 0.12; P greater than .05),” wrote Dieter Wolke, PhD, of the University of Warwick (England) and his coauthors.

VP and VLBW, disabilities, poorer academic achievement, and poorer parent-child relationships did not predict a lower quality of life for the parents. However, “in offspring, better mental health and peer relationships in childhood (independently of whether they were born VP or VLBW or term) still predicted parents’ quality of life more than a decade later,” they said.

Thus, taking measures to improve children’s mental health and peer relationships likely would aid both the children and their parents, they observed.

One thing that the authors do not remark on is that a significant number of the VP and VLBW infants in the Bavarian study’s initial sample died in the hospital (172 of 682; 25%), with another 12 deaths between the infants’ discharge and adulthood; the cohort study’s focus, therefore, is limited to the quality of life of parents whose children are still alive. Some other eligible parents dropped out, although the authors noted that they tried to control for factors differing between the dropouts and the participants.

Read more at Pediatrics (2017 Sep;140[3]:e20171263)

[email protected]